Provider Demographics
NPI:1437194545
Name:SACHEDINA, SHENIN MADATALI (DO)
Entity Type:Individual
Prefix:DR
First Name:SHENIN
Middle Name:MADATALI
Last Name:SACHEDINA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2200 GLENWOOD DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-3315
Mailing Address - Country:US
Mailing Address - Phone:407-740-5127
Mailing Address - Fax:407-740-0827
Practice Address - Street 1:2200 GLENWOOD DR
Practice Address - Street 2:SUITE 201
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-3315
Practice Address - Country:US
Practice Address - Phone:407-740-5127
Practice Address - Fax:407-740-0827
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS0006978208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL375581161OtherTRICARE ID #
FL57169OtherBLUE CROSS
FLG08060Medicare UPIN
FL57169OtherBLUE CROSS